US9795405B2 - Surgical instrument - Google Patents
Surgical instrument Download PDFInfo
- Publication number
- US9795405B2 US9795405B2 US14/625,349 US201514625349A US9795405B2 US 9795405 B2 US9795405 B2 US 9795405B2 US 201514625349 A US201514625349 A US 201514625349A US 9795405 B2 US9795405 B2 US 9795405B2
- Authority
- US
- United States
- Prior art keywords
- waveguide
- end effector
- surgical instrument
- distal
- articulable
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active, expires
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
- A61B34/37—Master-slave robots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00318—Steering mechanisms
- A61B2017/00323—Cables or rods
- A61B2017/00327—Cables or rods with actuating members moving in opposite directions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00477—Coupling
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320069—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for ablating tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320071—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with articulating means for working tip
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320072—Working tips with special features, e.g. extending parts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320072—Working tips with special features, e.g. extending parts
- A61B2017/320074—Working tips with special features, e.g. extending parts blade
- A61B2017/320075—Working tips with special features, e.g. extending parts blade single edge blade, e.g. for cutting
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320089—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic node location
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
- A61B2017/320093—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing cutting operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
- A61B2017/320094—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing clamping operation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
- A61B2017/320095—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw with sealing or cauterizing means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
- A61B34/30—Surgical robots
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
Abstract
Description
D=19.9×10−3
W=7.366×10−4
G=gap/25.4
where ‘r’ is the radius of the articulable harmonic waveguide 802 and R is the local radius of curvature, e.g., the radius of curvature of the
where c is the bar speed of sound of the material comprising the
where R is the radius of curvature, θ is the subtended angle, c is the bar phase velocity, and f0 is the mode frequency. In one embodiment, to reduce or prevent permanent deformation (yielding), the
where ‘r’ is the radius of the articulable harmonic waveguide 802 and R is the local radius of curvature, e.g., the radius of curvature of the
where R is the local radius of curvature, c is the bar speed of sound of the material comprising the
Claims (18)
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US14/625,349 US9795405B2 (en) | 2012-10-22 | 2015-02-18 | Surgical instrument |
US15/708,850 US11179173B2 (en) | 2012-10-22 | 2017-09-19 | Surgical instrument |
US17/473,474 US20220071655A1 (en) | 2012-10-22 | 2021-09-13 | Surgical instrument |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US13/657,553 US9095367B2 (en) | 2012-10-22 | 2012-10-22 | Flexible harmonic waveguides/blades for surgical instruments |
US14/625,349 US9795405B2 (en) | 2012-10-22 | 2015-02-18 | Surgical instrument |
Related Parent Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US13/657,553 Division US9095367B2 (en) | 2012-10-22 | 2012-10-22 | Flexible harmonic waveguides/blades for surgical instruments |
Related Child Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US15/708,850 Continuation US11179173B2 (en) | 2012-10-22 | 2017-09-19 | Surgical instrument |
Publications (2)
Publication Number | Publication Date |
---|---|
US20150157355A1 US20150157355A1 (en) | 2015-06-11 |
US9795405B2 true US9795405B2 (en) | 2017-10-24 |
Family
ID=49514033
Family Applications (4)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US13/657,553 Active 2033-03-11 US9095367B2 (en) | 2012-10-22 | 2012-10-22 | Flexible harmonic waveguides/blades for surgical instruments |
US14/625,349 Active 2033-11-05 US9795405B2 (en) | 2012-10-22 | 2015-02-18 | Surgical instrument |
US15/708,850 Active 2035-02-04 US11179173B2 (en) | 2012-10-22 | 2017-09-19 | Surgical instrument |
US17/473,474 Pending US20220071655A1 (en) | 2012-10-22 | 2021-09-13 | Surgical instrument |
Family Applications Before (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US13/657,553 Active 2033-03-11 US9095367B2 (en) | 2012-10-22 | 2012-10-22 | Flexible harmonic waveguides/blades for surgical instruments |
Family Applications After (2)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
US15/708,850 Active 2035-02-04 US11179173B2 (en) | 2012-10-22 | 2017-09-19 | Surgical instrument |
US17/473,474 Pending US20220071655A1 (en) | 2012-10-22 | 2021-09-13 | Surgical instrument |
Country Status (9)
Country | Link |
---|---|
US (4) | US9095367B2 (en) |
EP (2) | EP3847981A1 (en) |
JP (1) | JP6430387B2 (en) |
KR (1) | KR101782814B1 (en) |
CN (1) | CN104736076B (en) |
AU (1) | AU2013335118B2 (en) |
BR (1) | BR112015009030B1 (en) |
CA (1) | CA2889108C (en) |
WO (1) | WO2014066044A1 (en) |
Cited By (106)
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US10117667B2 (en) | 2010-02-11 | 2018-11-06 | Ethicon Llc | Control systems for ultrasonically powered surgical instruments |
US10154852B2 (en) | 2015-07-01 | 2018-12-18 | Ethicon Llc | Ultrasonic surgical blade with improved cutting and coagulation features |
US10179022B2 (en) | 2015-12-30 | 2019-01-15 | Ethicon Llc | Jaw position impedance limiter for electrosurgical instrument |
US10194973B2 (en) | 2015-09-30 | 2019-02-05 | Ethicon Llc | Generator for digitally generating electrical signal waveforms for electrosurgical and ultrasonic surgical instruments |
US10201382B2 (en) | 2009-10-09 | 2019-02-12 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US10245065B2 (en) | 2007-11-30 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical blades |
US10245064B2 (en) | 2016-07-12 | 2019-04-02 | Ethicon Llc | Ultrasonic surgical instrument with piezoelectric central lumen transducer |
US10251664B2 (en) | 2016-01-15 | 2019-04-09 | Ethicon Llc | Modular battery powered handheld surgical instrument with multi-function motor via shifting gear assembly |
US10278721B2 (en) | 2010-07-22 | 2019-05-07 | Ethicon Llc | Electrosurgical instrument with separate closure and cutting members |
USD847990S1 (en) | 2016-08-16 | 2019-05-07 | Ethicon Llc | Surgical instrument |
US10285724B2 (en) | 2014-07-31 | 2019-05-14 | Ethicon Llc | Actuation mechanisms and load adjustment assemblies for surgical instruments |
US10285723B2 (en) | 2016-08-09 | 2019-05-14 | Ethicon Llc | Ultrasonic surgical blade with improved heel portion |
US10299810B2 (en) | 2010-02-11 | 2019-05-28 | Ethicon Llc | Rotatable cutting implements with friction reducing material for ultrasonic surgical instruments |
US10321950B2 (en) | 2015-03-17 | 2019-06-18 | Ethicon Llc | Managing tissue treatment |
US10335182B2 (en) | 2012-06-29 | 2019-07-02 | Ethicon Llc | Surgical instruments with articulating shafts |
US10335614B2 (en) | 2008-08-06 | 2019-07-02 | Ethicon Llc | Devices and techniques for cutting and coagulating tissue |
US10335183B2 (en) | 2012-06-29 | 2019-07-02 | Ethicon Llc | Feedback devices for surgical control systems |
US10342602B2 (en) | 2015-03-17 | 2019-07-09 | Ethicon Llc | Managing tissue treatment |
US10349999B2 (en) | 2014-03-31 | 2019-07-16 | Ethicon Llc | Controlling impedance rise in electrosurgical medical devices |
US10357303B2 (en) | 2015-06-30 | 2019-07-23 | Ethicon Llc | Translatable outer tube for sealing using shielded lap chole dissector |
US10376305B2 (en) | 2016-08-05 | 2019-08-13 | Ethicon Llc | Methods and systems for advanced harmonic energy |
US10398466B2 (en) | 2007-07-27 | 2019-09-03 | Ethicon Llc | Ultrasonic end effectors with increased active length |
US10420580B2 (en) | 2016-08-25 | 2019-09-24 | Ethicon Llc | Ultrasonic transducer for surgical instrument |
US10420579B2 (en) | 2007-07-31 | 2019-09-24 | Ethicon Llc | Surgical instruments |
US10426507B2 (en) | 2007-07-31 | 2019-10-01 | Ethicon Llc | Ultrasonic surgical instruments |
US10433900B2 (en) | 2011-07-22 | 2019-10-08 | Ethicon Llc | Surgical instruments for tensioning tissue |
US10441308B2 (en) | 2007-11-30 | 2019-10-15 | Ethicon Llc | Ultrasonic surgical instrument blades |
US10441345B2 (en) | 2009-10-09 | 2019-10-15 | Ethicon Llc | Surgical generator for ultrasonic and electrosurgical devices |
US10441310B2 (en) | 2012-06-29 | 2019-10-15 | Ethicon Llc | Surgical instruments with curved section |
US10456193B2 (en) | 2016-05-03 | 2019-10-29 | Ethicon Llc | Medical device with a bilateral jaw configuration for nerve stimulation |
US10463421B2 (en) | 2014-03-27 | 2019-11-05 | Ethicon Llc | Two stage trigger, clamp and cut bipolar vessel sealer |
US10485607B2 (en) | 2016-04-29 | 2019-11-26 | Ethicon Llc | Jaw structure with distal closure for electrosurgical instruments |
US10517627B2 (en) | 2012-04-09 | 2019-12-31 | Ethicon Llc | Switch arrangements for ultrasonic surgical instruments |
US10524854B2 (en) | 2010-07-23 | 2020-01-07 | Ethicon Llc | Surgical instrument |
US10524872B2 (en) | 2012-06-29 | 2020-01-07 | Ethicon Llc | Closed feedback control for electrosurgical device |
US10531910B2 (en) | 2007-07-27 | 2020-01-14 | Ethicon Llc | Surgical instruments |
US10537352B2 (en) | 2004-10-08 | 2020-01-21 | Ethicon Llc | Tissue pads for use with surgical instruments |
US10543008B2 (en) | 2012-06-29 | 2020-01-28 | Ethicon Llc | Ultrasonic surgical instruments with distally positioned jaw assemblies |
US10555769B2 (en) | 2016-02-22 | 2020-02-11 | Ethicon Llc | Flexible circuits for electrosurgical instrument |
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US10595930B2 (en) | 2015-10-16 | 2020-03-24 | Ethicon Llc | Electrode wiping surgical device |
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US10765470B2 (en) | 2015-06-30 | 2020-09-08 | Ethicon Llc | Surgical system with user adaptable techniques employing simultaneous energy modalities based on tissue parameters |
US10779845B2 (en) | 2012-06-29 | 2020-09-22 | Ethicon Llc | Ultrasonic surgical instruments with distally positioned transducers |
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US10779848B2 (en) | 2006-01-20 | 2020-09-22 | Ethicon Llc | Ultrasound medical instrument having a medical ultrasonic blade |
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2012
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2013
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CN104736076B (en) | 2017-09-29 |
KR101782814B1 (en) | 2017-09-28 |
CA2889108C (en) | 2020-12-08 |
CN104736076A (en) | 2015-06-24 |
BR112015009030A2 (en) | 2017-07-04 |
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AU2013335118B2 (en) | 2017-09-07 |
US11179173B2 (en) | 2021-11-23 |
JP2016500536A (en) | 2016-01-14 |
JP6430387B2 (en) | 2018-11-28 |
US9095367B2 (en) | 2015-08-04 |
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